A 6-year-old with a pancreatic injury from bicycle handlebars

Koestner, Amy Jay; Hoak, Sandy

doi:10.1016/s0099-1767(99)70151-0

Cited by 1 publication

(4 citation statements)

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“…The majority of reported cases of traumatic pancreatic injury result from motor vehicle accidents or handlebar trauma from bicycle accidents [6,[20][21][22][23][24][25][26][27][28]. The classic mechanism for this traumatic injury is the compression of the pancreas between the spine and an externally applied force.…”

Section: Etiologies and Mechanisms Of Pancreatic Injurymentioning

confidence: 99%

“…Laceration of the pancreas is most likely to occur at the junction of the head and neck, where it overlies the spine [6]. Pediatric and lean adult athletic patients may be more susceptible to injury, as they have less fatty abdominal tissue to protect them from direct energy transmission [24].…”

Section: Etiologies and Mechanisms Of Pancreatic Injurymentioning

confidence: 99%

“…A thorough knowledge of the injury and the natural history of the physical examination after pancreatic injury are essential to avoid delays in diagnosis or treatment. Severe pancreatic contusions and lacerations from a direct injury may confound clinical diagnosis, as they often demonstrate minimal blood loss, and are associated with subtle signs and symptoms [24,28].…”

Section: Clinical Evaluation Of Pancreatic Injurymentioning

confidence: 99%

“…Koestner and Hoak [24] found that the abdominal pain and tenderness experienced by the patient with pancreatic trauma typically diminishes within the first 2 hours after injury, only to increase again over the intervening 6 to 8 hours. The inability of most pediatric patients to accurately describe their symptoms presents the physician with a greater diagnostic challenge than adult patients [23].…”

Section: Clinical Evaluation Of Pancreatic Injurymentioning

confidence: 99%

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Pancreatic Injury in the Athlete

Echlin¹,

Klein²

2005

Current Sports Medicine Reports

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Pancreatic injuries in the athlete are seldom reported in the literature. These injuries can result from atraumatic etiologies and blunt abdominal trauma. Atraumatic pancreatic injuries in the athlete are diagnosed and treated in a similar manner to the nonathletic patient. Fluid replacement, analgesic support, metabolic stabilization, and minimization of gastric stimulation are the primary management methods for this type of pancreatic injury. Athletically related traumatic pancreatic injury is associated with a high morbidity and mortality. The consequences of a delayed diagnosis make this type of injury an important diagnostic consideration in an athlete with abdominal pain. Initial clinical, radiologic, and laboratory findings of direct injury to the pancreas are often equivocal, and require clinical suspicion and further investigation. Current evidence suggests that pancreatic duct injury is the primary cause of the morbidity and mortality associated with the direct trauma. A conservative or surgical management plan should be based on a combination of serial clinical examinations, pancreatic enzyme levels, and either magnetic resonance retrograde choleopancreatogram or endoscopic retrograde chloangiopancreatography investigations to rule out ductal injury. The prevention of pancreatic and other intra-abdominal injuries is an evolving area of sports medicine research. Sports specific epidemiologic data collection and analysis are important elements in the development of evidence-based interventions.

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